中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
12期
1546-1549
,共4页
覃建%石迎辉%王丽娅%吕天斌
覃建%石迎輝%王麗婭%呂天斌
담건%석영휘%왕려아%려천빈
低视力康复%学龄儿童%双目望远镜%生活质量
低視力康複%學齡兒童%雙目望遠鏡%生活質量
저시력강복%학령인동%쌍목망원경%생활질량
Low-vision rehabilitation%School-age children%Binocular telescope%Quality of life
目的 探讨双目望远镜助视器在视力残疾学龄儿童低视力康复中的生活质量变化.方法 对2008年9月至2011年12月在河南省立眼科医院就诊的93例低视力及盲患儿验配2.8倍双目望远镜的资料,分析视力改善情况,了解脱残率、脱盲率.在低视力康复前和康复后3～6个月分别接受了“中文版低视力者生活质量量表”(CLVQOL)评估,选取量表A维度分析.结果 使用双目望远镜后视力均得到明显改善,与使用之前视力比较差异有统计学意义(P＜0.05).77例低视力患儿有63例视力达到0.3以上,脱残率达到81.82％,其中48例(62.34％)视力提高到0.5以上;16例眼盲患者有7例提高到0.05以上,脱盲率43.75％.经过助视器康复后CLVQOL A维度项目夜间在家中用眼时、在户外走动时、在有车辆时过街等3项评分差异无统计学意义(P＞0.05);其余9项及总分评分明显高于康复前,差异显著有统计学意义(P＜0.01).结论 双目望远镜能有效提高视力残疾学龄儿童远视力水平,改善涉及远视力、光感等方面的行为质量,能有效提高患儿的生活质量.但在运动状态下及夜间用眼方面无明显改善.
目的 探討雙目望遠鏡助視器在視力殘疾學齡兒童低視力康複中的生活質量變化.方法 對2008年9月至2011年12月在河南省立眼科醫院就診的93例低視力及盲患兒驗配2.8倍雙目望遠鏡的資料,分析視力改善情況,瞭解脫殘率、脫盲率.在低視力康複前和康複後3～6箇月分彆接受瞭“中文版低視力者生活質量量錶”(CLVQOL)評估,選取量錶A維度分析.結果 使用雙目望遠鏡後視力均得到明顯改善,與使用之前視力比較差異有統計學意義(P＜0.05).77例低視力患兒有63例視力達到0.3以上,脫殘率達到81.82％,其中48例(62.34％)視力提高到0.5以上;16例眼盲患者有7例提高到0.05以上,脫盲率43.75％.經過助視器康複後CLVQOL A維度項目夜間在傢中用眼時、在戶外走動時、在有車輛時過街等3項評分差異無統計學意義(P＞0.05);其餘9項及總分評分明顯高于康複前,差異顯著有統計學意義(P＜0.01).結論 雙目望遠鏡能有效提高視力殘疾學齡兒童遠視力水平,改善涉及遠視力、光感等方麵的行為質量,能有效提高患兒的生活質量.但在運動狀態下及夜間用眼方麵無明顯改善.
목적 탐토쌍목망원경조시기재시력잔질학령인동저시력강복중적생활질량변화.방법 대2008년9월지2011년12월재하남성립안과의원취진적93례저시력급맹환인험배2.8배쌍목망원경적자료,분석시력개선정황,료해탈잔솔、탈맹솔.재저시력강복전화강복후3～6개월분별접수료“중문판저시력자생활질량량표”(CLVQOL)평고,선취량표A유도분석.결과 사용쌍목망원경후시력균득도명현개선,여사용지전시력비교차이유통계학의의(P＜0.05).77례저시력환인유63례시력체도0.3이상,탈잔솔체도81.82％,기중48례(62.34％)시력제고도0.5이상;16례안맹환자유7례제고도0.05이상,탈맹솔43.75％.경과조시기강복후CLVQOL A유도항목야간재가중용안시、재호외주동시、재유차량시과가등3항평분차이무통계학의의(P＞0.05);기여9항급총분평분명현고우강복전,차이현저유통계학의의(P＜0.01).결론 쌍목망원경능유효제고시력잔질학령인동원시력수평,개선섭급원시력、광감등방면적행위질량,능유효제고환인적생활질량.단재운동상태하급야간용안방면무명현개선.
Objective To evaluate the application value of binocular telescope in low vision rehabilitation for school-age children and explore the change of quality of life before and after low-vision rehabilitation.Methods Ninety-three school-age children of low vision or blindness prescribed with 2.8×binocular telescope were recruited for the study.The percentage of cases with distance vision ≥0.05 and 0.3 in telescope was analyzed.The Chinese-version low vision quality of life questionnaire (CLVQOL) was used to evaluate the quality of life before and after low vision rehabilitation.Scale A with 12 items of CLVQOL was analyzed in the study.Results The distance vision were all significantly improved by wearing telescope (P ＜0.05).81.82％ low vision subjects' distance vision was increased to 0.3 and 62.33％ to 0.5.56.25％ blind subjects' distance vision was increased to 0.3.The scores of 9 items of scale A increased significantly after rehabilitation (P ＜0.01)in both low-vision and blind children while the other 3 items including with your vision at night inside the house,getting around outdoors and crossing a road with traffic with no differences (P ＞0.05).Conclusions The 2.8× binocular telescope can effectively increase the distance vision of visual disability school-age children.It can help to improve the quality of behavior related to distance vision and lighting and significantly improve the quality of life.
